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NPI Code Detail

MEDICARE: DR. TAMMY KAY DOMANICO

MEDICARE:  DR. TAMMY KAY DOMANICO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy PharmacistPU5409FL

General Provider Information

NPI Number : 1982242038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMMY KAY DOMANICO
Provider Business Mailing Address
First Line : 1500 N OCEAN BLVD APT 801
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-3438
Country : US
Telephone Number : 954-270-4893
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N OCEAN BLVD APT 801
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-3438
Country : US
Telephone Number : 954-270-4893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2019
Last Update Date : 12/18/2019

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Directions to “ DR. TAMMY KAY DOMANICO ” Practice Location

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